Walden University - NURS 6550Sonya Phillips. iHuman Discussion Thread. Many Posts.

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This week, complete the iHuman case titled “Sonya Phillips”. After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines: Discuss the qu ... estions that would be important to include when interviewing a patient with this issue. Describe the clinical findings that may be present in a patient with this issue. Are there any diagnostic studies that should be ordered on this patient? Why? List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each. Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups. Week 6 DQ Tracy Overton posted Dec 16, 2017 7:57 PM Subscribe Discuss the questions that would be important to include when interviewing a patient with this issue. Why are you seeking help today? Any other symptoms? Do you have pain anywhere? If so, where? Have you been having fevers? What are the events surrounding the start of your pelvic pain? Does anything make your pelvic pain better or worse? What does your pelvic pain feel like? Any previous medical, surgical or dental procedures? Do you have any allergies? Are you taking any prescription medications? Are you taking any over-the-counter or herbal medications? When did your last period begin? Do you have any of the following problems: fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, night sweats? Do you experience: chest pain, discomfort, pressure, pain/pressure/dizziness with exertion or getting angry, palpitations, decreased exercise tolerance, blue/cold fingers and toes? Do you have problems with: nausea, vomiting, constipation, diarrhea, coffee grounds in your vomit, dark tarry stool, bright red blood in your bowel movements, early satiety, bloating? When you urinate, have you noticed: pain, difficulty starting or stopping, dribbling, incontinence, urgency during day or night. Any changes in frequency? Do you have any blood in your urine? Have you had vaginal bleeding or discharge? What is the appearance, smell, texture and quantity of the vaginal discharge? When did your vaginitis/vaginal discharge start? Have you had vaginitis/vaginal discharge like this before? What treatments have you had for your vaginitis/vaginal discharge? Are you sexually active? Are you having or have you had unprotected sex? Tell me about any current or past medical problems? Have you ever been pregnant? How many times? Are your immunizations up to date? How is your appetite? Any recent change? Do you have more than one sexual partner? Are you using any form of birth control? Do you experience: shortness of breath, wheezing, difficulty catching your breath, chronic cough, sputum production? Do you have problems with: muscle or joint pain, redness, swelling, muscle cramps, joint stiffness, joint swelling or redness, back pain, neck or shoulder pain, hip pain? Do you have any of the following: dizziness, fainting, spinning room, seizures, weakness, numbness, tingling, tremor? Describe the clinical findings that may be present in a patient with this issue. Midline lower-abdominal pain x 5 days; now with RLQ localization x < 1 day; worse with standing and movement. Nausea without vomiting. Chills/sweating. Dizziness. Sexually active; multiple sexual partners. Inconsistent condom use. Diaphoretic. Pale conjunctivae. Febrile: T 38.3 C; 101.0 F. Tachycardia (126). Hypotensive (88 systolic). Tachypnea. Marked tenderness to LLQ > suprapubic > RLQ palpation. Associated guarding; no rebound tenderness. Foul vaginal discharge; purulent drainage per cervical os. Cervical-motion tenderness. Palpable fullness and marked tenderness of left adnexa. Left-inguinal lymphadenopathy. LMP 3 weeks ago. Treated for chlamydia 3 years ago. Are there any diagnostic studies that should be ordered on this patient? Why? Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups. [Show More]

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